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General NPI Number Information
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NPI Number | 1831673102
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Entity Type | Individual
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Provider Name | CHERYL HALL LCMFT, LCAC
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Gender | Female
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Dates
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Enumeration Date | 09/21/2018
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 1204 SE LOUIS DR
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City | MULVANE
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State | KS
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Zip | 67110
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Country | US
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Telephone | 316-409-7857
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Fax |
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Provider Business Mailing Address
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Address Line | 1204 SE LOUIS DR
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City | MULVANE
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State | KS
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Zip | 67110-1139
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Country | US
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Telephone | 316-409-7857
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00864
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 03247
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License Number State | KS
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